Duodenal tubular resection using laparoscopic-endoscopic cooperative surgery: A new technique for the treatment of duodenal lesions

Asian Journal of Endoscopic Surgery
Amane KitasatoSusumu Eguchi

Abstract

Laparoscopic-endoscopic cooperative surgery (LECS) is a minimally invasive surgical technique that combines the advantages of laparoscopic surgery and endoscopic treatment. LECS has been developed for treatment of gastric submucosal tumors and can be applied to superficial non-ampullary duodenal tumors. Here we describe the use of LECS for duodenal mucosal cancer. After the placement of five ports, an endoscopic procedure was performed to confirm the tumor location and to place marks around the tumor. The jejunum was then resected 10 cm from the ligament of Treitz, and the connective tissue between the pancreas and duodenum was dissected to close to Vater's papilla. Duodenal resection was performed with a stapling device 2 cm to the oral side of the tumor, with endoscopic confirmation of the duodenal papilla, and duodenal tubular resection was then accomplished. Duodeno-jejunostomy was carried out using the same stapling device. There were no postoperative complications. This case shows that duodenal tubular resection using LECS enables curability through a minimally invasive procedure that offers the advantages of laparoscopic surgery and endoscopic treatment. This technique is applicable to duodenal lesions such as those due ...Continue Reading

References

Jun 29, 2010·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Masahiro SakonNobuyuki Tateiwa
Feb 14, 2014·Endoscopy·Fumitoshi HirokawaKazuhisa Uchiyama
Apr 23, 2014·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Yorimasa YamamotoMasahiro Igarashi
Apr 23, 2014·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Nobutsugu AbeMasanori Sugiyama
Sep 26, 2014·World Journal of Gastroenterology : WJG·Naomi KakushimaHiroyuki Ono

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Citations

Jun 23, 2018·Japanese Journal of Clinical Oncology·Teijiro HirashitaMasafumi Inomata

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